Individual provider Active NPI

Greydis Piedrahita, M.A, BCBA

  • Behavior Analyst
  • Lauderdale Lakes, FL
National Provider Identifier
1053895623
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LABA10000200 Issued in MA
Practice address
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone
(561) 323-6582
Fax
(561) 210-5502
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LABA10000200 MA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

Mailing address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone (561) 323-6582

Other practice location 1

2980 Hartley Rd Ste 2
Jacksonville, FL 32257-8202
Phone (904) 619-8430

Other practice location 2

1563 Kingsley Ave Ste 103
Orange Park, FL 32073-4503
Phone (904) 602-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LABA10000200MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Cares of Florida LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1053895623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-323-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-323-6582",
            "fax_number": "561-210-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 Hartley Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578202",
            "country_code": "US",
            "telephone_number": "904-619-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1563 Kingsley Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734503",
            "country_code": "US",
            "telephone_number": "904-602-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEDRAHITA",
        "first_name": "GREYDIS",
        "credential": "M.A, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA10000200",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.